NPIMap

Individual provider Active NPI

Mario Joseph Carmosino, MD

  • Anesthesiology Physician
  • Saint Louis, MO
National Provider Identifier
1467659441
Registry record updated Aug 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
48879 Issued in CO
Practice address
660 S Euclid Ave
Saint Louis, MO 63110-1010
Phone
(314) 362-6978
NPI assigned
Jul 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 2007013989 MO
Anesthesiology Physician 207L00000X 48879 CO Primary

Addresses

Primary practice location

660 S Euclid Ave
Saint Louis, MO 63110-1010

Mailing address

950 Columbia Ave
Fairview Heights, IL 62208-3791
Phone (303) 667-1647

Other identifiers 1

IdentifierTypeStateIssuer
38152789MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100802000961 CO Practitioner - Anesthesiology 7113050840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Colorado School of Medicine, Denver, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rocky Mountain State Anesthesia ProvidersGroup PAC ID 8729349444, 50 clinicians

Practice addresses (Care Compare)

1801 16TH St
Greeley, CO 80631-5154
Phone (970) 810-4121

Hospital & facility affiliations

  • Banner North Colorado Medical Center Hospital, Greeley, CO, CCN 060001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2007013989MOMDAnesthesiology Physician
48879COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Anesthesia Associates LLC Anesthesiology CurrentSince Jan 22, 2024 Accepting new patients
Rocky Mountain State Anesthesia Providers Anesthesiology CurrentSince Mar 1, 2018 Accepting new patients
Rocky Mountain State Anesthesia Providers Anesthesiology CurrentSince Mar 1, 2018 Accepting new patients

Locations

4700 Lady Moon Dr
Fort Collins, CO 80528
Phone (970) 521-4600

1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121

5890 W 13th St
Ste 102
Greeley, CO 80634
Phone (970) 348-0090

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

615 Fairhurst St
Sterling, CO 80751
Phone (970) 521-0322

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282262400000",
    "number": "1467659441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 COLUMBIA AVE",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622083791",
            "telephone_number": "303-667-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 S EUCLID AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101010",
            "telephone_number": "314-362-6978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMOSINO",
        "first_name": "MARIO",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-02",
        "last_updated": "2010-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "2007013989",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "48879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38152789",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.